Individual
MRS. AMANDA JANE NEMOYTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP MS
Contact information
Practice address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4495
(171) 390-3100
Mailing address
844 SHELDON AVE, STATEN ISLAND, NY 10309-2328
(646) 696-7204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347278
NY
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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